Injury Line: John W Egan Company Inc
| Inspection Nr | 927939 |
| Investigation Nr | 14540405 |
| Line Nr | 2 |
| Age | |
| Sex |   |
| Nature of Injury | Fracture |
| Part of Body | Chest |
| Source of Injury | Chem Liquids/Vapors |
| Event Type | Fall(From Elevation) |
| Environmental Factor | Gas/Vapor/Mist/Fume/Smoke/Dust |
| Human Factor | Insuff/Lack/Respiratory Proctect |
| Occupation | Painters, construction and maintenance |
| Degree of Injury | Fatality |
| Task Assigned | Task regularly assigned |
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